Quiz: Final GYNE 5th

1. 30 years’ nulliparous woman with menorrhagia not responding to medical treatment and have 4 cm sub mucous fibroid is best treated by

A a) Hysteroscopic resection of the myoma B b) Hysterectomy C c) Laparoscopic myomectomy D d) Uterine artery embolization

2. A 23-year-old woman with confirmed pelvic inflammatory disease (PID) presents with right upper quadrant pain. What is the MOST likely ethology?

A a) Cholecystitis B b) Nephrolithiasis C c) Perihepatic abscess D d)Fitz-Hugh-Curtis syndrome

3. 35-year-old female is noted to have breast enlargement, vaginal bleeding, and an 8cm pelvic mass. Which of the following is the most likely etiology?

A a) Benign cystic teratoma (dermoid) B b) Endodermal sinus tumor C c) Choriocarcinoma D e) Granulosa-theca cell tumor

4. A common cause of huge pelvi-abdominal mass is

A a) Cervical fibroid B b) Mucinous ovarian tumour C c) Diffuse adenomyosis D d) Pyometra

5.Abnormal uterine bleeding?

A a) The cycle is considered oligomenorrhea if it is more than 35 days B b) Hyperthyroidism typically present as menorrhagia C c) Dysfunctional uterine bleeding is always secondary to defect in the endometrium D d) History cannot suggest the cause of abnormal uterine bleeding

6.All of the following are hormonal contraceptives except

A a) MIRINA IUCD B b) Combined oral contraceptives C c) Minipills D d) spermicidal

8.Clinical findings of imperforate hymen include all of the following EXCEPT:

A a) Primary amenorrhea B b) Retention of urine C c) Oligomenorrhea D d) Pelvi-abdominal swelling

9.Clomiphene citrate is an effective treatment in:

A a) Sheehan syndrome B b) Turner syndrome C c) Asherman syndrome D d)Polycystic ovarian syndrome

10. During palpation. the following is usually described as soft in consistency

A a) Nodules in doglas pouch B b) Cervix C c) Ovarian cyst D d) Fibroid

11.Embryologically the uterus developed from:

A a) Mullerian duct B b) Mesonephric duct C c) Genital tubercle D d) Gartner’s duct

12. Endometrial hyperplasia could be associated with:

A a) Progesterone excess B b) Estrogen lack C c) Granulosa cell tumour of the ovary D d) Androgen excess

13.Endometrial hyperplasia is treated by:

A a) Progestogen B b) Estrogen C c) Ergometrine D d) Androgens

15.Functional ovarian cysts include:

A a) Follicular cysts B b) chocolate cyst C c) Dermoid cyst D d) Hyaline cyst

16. Germ cell tumors are characterized by

A a) It arises from germinal epithelium of the ovary B b) Commonly radioresistent and chemoresistent C c) Treated by unilateral salpingooopherectomy D d) Commonly affect postmenopausal women

17. Gonadotrophic hormones are expected to be low in:

A a) Menopause B b) Turner syndrome C c) Sheehan syndrome D d) Asherman syndrome

18. Hyperprolactinemia is basically treated by:

A a) Clomiphene citrate B b) Danazol C c) Bromocreptine D d) Surgery

19. Hyperprolactinemia is present in the following conditions except:

A a) prolactinoma B b) Lactation C c) Pregnancy D d) Sheehan's syndrome

20. In woman with ovarian cancer, past history of the following malignancy is relevant

A a) Cervical B b) Vulval C c) Bone D d) Breast

21.IUCD is contraindicated in the following except:

A a) Incompetent cervix B b) Genital tract infection C c) Uterine anomalies D d) multigravida

22. Male factor in infertility is responsible for:

A a) 10% of cases B b) 40% of cases C c) 70% of cases D d) 90% of cases

23. Medical induction of ovulation for PCOS include all of the following except

A a) Tamoxifen B b) Clomiphen citrate C c) laparoscopic ovarian drilling D d) Gonadotropin

24.Ovarian cyst can undergo the following changes EXCEPT

A a) Rupture B b) Infection C c) Torsion D d) Calcification

25.Patients with fibroids can have the following presentations EXCEPT

A a) Acute abdomen B b) Menorrhagia C c) No symptoms D d) Amenorrhea

26.Polycystic ovary syndrome is characterized by except

A a) Chronic anovulation B b) Hyper androgenism C c) Multiple small ovarian follicles D d) Small ovarian volume

27.Positive withdrawal bleeding after progestogen is expected in the following condition

A a) Polycystic ovarian syndrome (PCOS) B b) Hyperprolactinemia C c) Amenorrhea due to GnRH injection D d) Severe degree of Asherman's syndrome

28.Regarding infertility; which of the following statements is true:

A a) It is failure to achieve pregnancy after one year of regular marital life B b) 30% of married couples have an infertility problem C c) It could be preventable in many cases D d) Wife should be investigated first

29.Regarding primary ovarian failure

A a) FSH is low B b) Estrogen is low C c) Can be treated with gonadotrophic D d) Is due to bacterial infection of the ovary

30.Regarding Sheehan's syndrome all are true except

A a) Usually result in isolated anterior pituitary dysfunction B b) Classically results from severe post partum haemorrhage C c) Is associated with a normal size pituitary gland D d)Confertility is usually successfully treated with gonadotrophins

31.Retention of urine in gynecology practice could be due to one of the following EXCEPT

A a)Cervical fibroid B b) small utrine fibroid C c) Imperforate hymen D d) Postoperative pain

31.Retention of urine in gynecology practice could be due to one of the following EXCEPT

A a)Cervical fibroid B b) small utrine fibroid C c) Imperforate hymen D d) Postoperative pain

32. Risk of pregnancy with COCs is greatest when:

A a) Woman misses 3 or more pills B b) At any time missed one pill C c) The women are lactating D d) The dose of progestin's in the pills is low

33. Spasmodic (primary) dysmenorrohea could respond to:

A a) Progestin only Contraceptive pills B b) Antihistaminies C c) Antibiotics D d) Non-steroidal anti-inflammatory drugs

34. Stage I b cervical carcinoma could be treated by one of the following modalities EXCEPT:

A a) Surgery B b) Radiation C c) Surgery & radiation D d) Chemotherapy

35. The commonest presentation in ovarian neoplasm is:

A a) Abnormal uterine bleeding B b) Pelvi abdominal swelling C c) GIT symptoms (dyspepsia) D d) Distant metastasis

36. The following is a basic investigation for infertile couple

A a) follicular phase progesterone B b) Anti mullarian hormone C c) Follicular phase 17hydroxy progesterone D d) Follicular phase HSG

37. The following is essential before myomectomy in all cases

A a) Consent for hysterectomy B b) GnRH analogue C c) Preoperative blood transfusion D d) Dilataion and curettage

38. The following is NOT an absolute contraindication for Cu-T IUD

A a) Wilson, s disease B b) presence of current PID C c) History of colon cancer D d) Presence of abnormal bleeding

39. The following is not essential for diagnosis of Polycystic ovarian syndrome (PCOS)

A a) Obesity B b) Hyperandrogenism C c) Oligo-ovulation D d) Increased ovarian volume

40.The following ligaments are true support to the uterus:

A a) Round ligament & broad ligament. B b) Broad ligament & ovarian ligament. C c) Round ligament & ovarian ligament. D d) Cardinal ligament &uterosacral ligament

41. The following suggests malignancy in a uterine mass

A a) Abnormal uterine bleeding B b) Fixed mass C c) Tender bimanual examination D d) Multiple uterine masses

42. The following viruses are sexually transmitted except:

A a) AIDS virus (HIV) B b) Hepatitis B virus (HBV) C c) Human papilloma virus (HPV) D d) Hepatitis A virus (HAV)

43. The followings are causes of secondary amenorrhea except:

A a) pregnancy B b) lactation C c) PCOS D d) Mullerian duct agenesis

44. The followings are contraindications of COC pills except:

A a) Thrombo-embolic diseases B b) Endometrial carcinoma C c) Varicose veins D d) History of ectopic pregnancy

45. The minimum required normal sperm concentration according to WHO2010

A a) 15 million/ml B b) 20 million/ml C c) 32 million/ml D d) 40 million/ml

47. The most common cause of genital prolapse is :

A a) Obstetric trauma B b) Congenital weak ligaments C c) Traction on the uterus by fibroid D d) Menopausal atrophy

48. The most common cause of primary infertility is:

A a) Tubal factor B b) Ovarian factor C c) Uterine factor D d) Vaginal factor

49. The most common cause of secondary amenorrhea is:

A a) post pill amenorrhea B b) pregnancy C c) menopause D d) none of the above

50. The most common complication of cervical fibroid is

A a) Uterine inversion B b) Hydronephrosis C c) Malignancy D d) Heart failure

51.The most commonly used method to detect ovulation is

A a) Ferning test B b) Premenstrual endometrial biopsy C c) Ultrasound D d) laparoscopy

52. The most difficult diagnosis of genital tract malignancy is

A a) Ovarian B b) endometrial carcinoma C c) cervical D d) Vaginal

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